2026-04-13T01:59:29Zhttps://recercat.cat/oai/request
oai:recercat.cat:2445/2062262025-12-04T19:19:33Zcom_2072_1057col_2072_478858col_2072_478917
RECERCAT author Maduell, Francisco author Cholbi, Ester author Morantes, Laura author Escudero Saiz, Víctor Joaquín author Ollé, Júlia author Martínez Chillarón, Marta author Rodas, Lida M. author Rodríguez Espinosa, Diana author Arias Guillén, Marta author Vera, Manel author Fontseré, Néstor author Broseta, José Jesús 2024-01-24T12:47:43Z2024-01-24T12:47:43Z2023-06-012024-01-23T15:49:35Z Adherence to a low sodium (Na) diet is crucial in patients under hemodialysis, as it improves cardiovascular outcomes and reduces thirst and interdialytic weight gain. Recommended salt intake is lower than 5 g/day. The new 6008 CareSystem monitors incorporate a Na module that offers the advantage of estimating patients' salt intake. The objective of this study was to evaluate the effect of dietary Na restriction for 1 week, monitored with the Na biosensor.A prospective study was conducted in 48 patients who maintained their usual dialysis parameters and were dialyzed with a 6008 CareSystem monitor with activation of the Na module. Total Na balance, pre/postdialysis weight, serum Na (sNa), changes in pre- to post-dialysis sNa (ΔsNa), diffusive balance, and systolic and diastolic blood pressure were compared twice, once after 1 week of patients' usual Na diet and again after another week with more restricted Na intake.Restricted Na intake increased the percentage of patients on a low-sodium diet (<85 Na mmol/day) from 8% to 44%. Average daily Na intake decreased from 149 ± 54 to 95 ± 49 mmol and interdialytic weight gain was reduced by 460 ± 484 g per session. More restricted Na intake also decreased pre-dialysis sNa and increased both intradialytic diffusive balance and ΔsNa. In hypertensive patients, reducing daily sodium by more than 3 g Na/day lowered their systolic blood pressure.The new Na module allowed objective monitoring of Na intake, which in turn could permit more precise personalized dietary recommendations in patients under hemodialysis.S. Karger AG, Basel. (c) Karger, 2023 info:eu-repo/semantics/openAccess Diàlisi Dieta Dialysis Diet Results of salt intake restriction monitored with the new sodium control biosensor info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion